To demonstrate that the infrastructure of existing surgical quality improvement programs can be used to (1) evaluate clinical outcomes for both the operative and non-operative management of surgical disease, (2) assess hospital performance on key surgical quality metrics for operative and non-operative treatment modalities, and (3) demonstrate the influence the addition of non-operative management can have on overall hospital-level performance rankings.
The results of this study illustrate the importance and the feasibility of expanding the scope of surgical quality assessment to include the non-operative management of surgical disease. However, establishing the importance and feasibility of non-operative surgical quality assessment is just the first step. Moving forward, non-operative care should be incorporated into surgical quality initiatives, such as clinical data registries and public reporting programs. The detailed clinical data collected for these initiatives will hold the information necessary to identify optimal practices in the non-operative management of surgical disease and ultimately improve the quality of care provided to surgical patients.
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